Name
G09 - Can Collaborative Care Model Services at a Federally Qualified Health Center Impact Depression Remission Outcomes? A Quality Improvement Study
Date & Time
Friday, October 25, 2024, 2:45 PM - 3:45 PM
Location Name
Presidio A
Description

This quality improvement study explores the utility of implementing CoCM with fidelity at a federally qualified health center (FQHC) while considering social drivers of health, treatment adherence, time in CoCM care, psychiatric and medical conditions and psychopharmacology. The findings of this study indicate that CoCM delivered with fidelity can support FQHCs in improving depression remission rates at 12 months +/- 60 days after initial diagnosis. This presentation will provide an overview of the design and findings of this quality improvement study and case studies of patients included in the study.

Speakers
Amber Flanigan - Bodrick DSW, LISW-CP, MPH, CHES, Lead Behavioral Health Consultant, Cooperative Health, Columbia, SC
Antonio Davis LMSW, Behavioral Health Consultant, Cooperative Health, Elgin, SC
Amber Flanigan - Bodrick Antonio Davis
Co-Authors
Phyllis Solomon, PhD Professor Associate Dean for Research Senior Fellow, Center for Public Health Initiatives Faculty Fellow, Ortner Center Faculty Fellow, The Center for High Impact Philanthropy Kenneth L. Pray Chair in Social Policy & Practice, J. Rufus Wofford
Content Level
All Audience
Tags
Collaborative Care Model of Integrated Care, Outcomes, Quality improvement programs
Session Type
Concurrent
SIG or Committee
CoCM, African Americans in IC Workgroup
Slideshow link
View Slideshow
Objective 1
Understand how to design a quality improvement study that is connected to Health Resources and Services Administration’s Uniform Data System outcome measures.
Objective 2
Understand how to implement and measure the components of Collaborative Care Model services with fidelity in the FQHC environment.
Objective 3
Feel confident applying evidenced based brief interventions to patients receiving Collaborative Care Model Services.
Content Reference 1

Bryan, C. J., & Rudd, D. (2010). Managing suicide risk in primary care. New York, NY: Springer Publishing. Gandy, J., Erika, M. S., Zook, S., & Eggert, L. (2019). Improving Adherence to Mental Health Treatment in a Low-Income Clinic. SAGE Open, 9(2), 2158244019851015. 10.1177/2158244019851015 Gustafsson, P. E., San Sebastian, M., Janlert, U., Theorell, T., Westerlund, H., & Hammarström, A. (2014). Life-Course Accumulation of Neighborhood Disadvantage and Allostatic Load: Empirical Integration of Three Social Determinants of Health Frameworks. Am J Public Health, 104(5), 904-910. 10.2105/AJPH.2013.301707 Health Center Program Uniform Data System (UDS) Data Overview. (n.d.). data.hrsa.gov. https://data.hrsa.gov/tools/data-reporting/program-data?grantNum=H80CS00730Cooperative Hymmen, P., Stalker, C. A., & Cait, C. (2013). The case for single-session therapy: Does the empirical evidence support the increased prevalence of this service delivery model? Journal of Mental Health, 22(1), 60-71. 10.3109/09638237.2012.670880 Katon, W., Russo, J., Reed, S. D., Croicu, C. A., Ludman, E., LaRocco, A., & Melville, J. L. (2015). A Randomized Trial of Collaborative Depression Care in Obstetrics and Gynecology Clinics: Socioeconomic Disadvantage and Treatment Response. Ajp, 172(1), 32-40. 10.1176/appi.ajp.2014.14020258 National Academies of Sciences, Engineering, and Medicine, Division, H. a. M., Services, B. o. H. C., Care, Committee on Implementing High-Quality Primary, Robinson, S. K., Meisnere, M., Phillips, R. L., & McCauley, L. (2021). Implementing High-Quality Primary Care. National Academies Press. 10.17226/25983

Content Reference 2

Principles Of Collaborative Care | The University of Washington AIMS Center. (2021) https://aims.uw.edu/collaborative-care/principles-collaborative-care Powers, D. M., Bowen, D. J., Arao, R. F., Vredevoogd, M., Russo, J., Grover, T., & Uniitzer, J. (2020). Rural Clinics Implementing Collaborative Care for Low-Income Patients Can Achieve Comparable or Better Depression Outcomes. Families, Systems & Health, 38, 242+. https://bi-gale com.proxy.library.upenn.edu/global/article/GALE%7CA640839057?u=upenn_main&sid=summon Ray-Sannerud, B., Morrow, C. E., Kanzler, K. E., Dolan, D. C., Corso, K. A., Corso, M. L., & Bryan, C. J. (2012). Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic. Families, Systems & Health, 30, 60+. https://bi-gale-com.proxy.library.upenn.edu/global/article/GALE%7CA284677014?u=upenn_main&sid=summon Regier, D. A., Narrow, W. E., Rae, D. S., Manderscheid, R. W., Locke, B. Z., & Goodwin, F. K.(1993). The de facto U.S. mental and addictive disorders service system. Epidemiologic Catchment Area prospective 1-year prevalence rates of disorders and services. Archives of General Psychiatry, 50, 85–94. Retrieved fromhttp://archpsyc.ama-assn.orghttps://doi.org/10.1001/archpsyc.1993.01820140007001 Robinson, P. J., & Reiter, J. T. (2007). Behavioral consultation and primary care: A guide to integrating services. New York, NY: Springer. Rush, A. J., Trivedi, M. H., Wisniewski, S. R., Nierenberg, A. A., Stewart, J. W., Warden, D., Niederehe, G., Thase, M. E., Lavori, P. W., Lebowitz, B. D., McGrath, P. J., Rosenbaum, J. F., Sackeim, H. A., Kupfer, D. J., Luther, J., & Fava, M. (2006). Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: a STAR*D report. The American journal of psychiatry, 163(11), 1905–1917. Tarricone, I., Stivanello, E., Poggi, F., Castorini, V., Marseglia, M. V., Fantini, M. P., & Berardi, D. (2012). Ethnic variation in the prevalence of depression and anxiety in primary care: A systematic review and meta-analysis. Psychiatry Research, 195(3), 91-106. https://doi-org.proxy.library.upenn.edu/10.1016/j.psychres.2011.05.020

Content Reference 3

Vahratian A., Blumberg S., Terlizzi E., M., & Schiller J. Symptoms of Anxiety or Depressive Disorder and Use of Mental Health Care Among Adults During the COVID-19 Pandemic — United States, August 2020–February 2021. (). April 2, 2021: Centers for Disease Control.

Content Reference 4

Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Twelvemonth use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 629-640.